Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659572188 Individual Practitioner Female Practitioner

Kimberly Wiskow , MS CCC-SLP

Speech-Language Pathologist • Southlake, TX

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kimberly Wiskow, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Southlake, TX. Official NPI practice address is registered at 855 DAVIS BLVD.

Practice Location & Contact Primary Location

Practice Address

855 Davis Blvd
Suite 600

Southlake, TX 760928244

Telephone 8173103457

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Southlake, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
65 Specialists

Practicing in Southlake, TX (17210 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 101452

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Beena Mathews , FNP-C

Nurse Practitioner - Family

NPI 1093373581

Family Nurse Practitioner (Certified)

Laurie Miller , MOT, OTR

Occupational Therapist

NPI 1336308295

Master of Occupational Therapy, Occupational Therapist Registered

NPI 1649760604

Family Nurse Practitioner (Certified)

Soumana Djibo

Nurse Practitioner - Family

NPI 1760148753

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 855 DAVIS BLVD, SUITE 600, SOUTHLAKE, TX 760928244 (Tel: 8173103457)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4029 SUMMERHILL LN, KELLER, TX 762480906 (Tel: 8176377546)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIMBERLY WISKOW, MS. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #101452 in TX)

🟢
Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659572188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4029 Summerhill Ln

Keller, TX 762480906

Phone: 8176377546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.